Russias national goal Preservation of the Population and Peoples Health, and Well-being aims to ensure sustainable population growth in 2030. The strategies for this task prioritize altering the existing demographic trends by increasing the birth rate, decreasing the mortality rate among working age people, changing the healthcare system from a curative to a preventive model, preventing risk factors, and detecting diseases early. Men account for 70% of deaths among working age individuals aged 40 to 60 in Russia. This indicator directly depends on lifestyle, and the destructive model of peoples behaviour needs to be changed as early as possible, no later than after 1525 years. It is crucial to improve young peoples health, pivot towards an approach that aims to preserve health and prevent diseases, promote a healthy lifestyle, and alter peoples reproductive behaviour in order to instil a positive attitude in society about the institution of marriage and the desire to have children. These are the pillars for growth in the strategy to increase the birth rate. How can preventive and public healthcare affect the demographic situation in the country? What measures will help reduce the risk of infertility and the birth of an unhealthy generation? How does the modern system of medical care correlate with the challenges of preserving childrens health and family health, including in the Far Eastern District? What are the goals of the Reproductive Health national project set by the pilot regions in the Far Eastern Federal District? What needs to be done to motivate society and, in particular, the younger generation and men of working age, to lead a healthy lifestyle? What are the best practices and projects in the macro-region that are consistent with the goal of preserving the health of families and children?